Title: Everybody Wants to Go to Heaven but Nobody Wants to Die Pdf Bioethics and the Transformation of Health Care in America
Author: Amy Gutmann
Published Date: 2019-08-27
Page: 272
“Astute…. illuminating…. Gutmann and Moreno lucidly outline the differences between earlier eras in medicine, when a doctor’s 'implicit permission to mislead, if not to lie outright' was openly accepted, and contemporary medicine, where healthier food 'choice architecture' and mental health system reforms are just two examples of the radical shift in perception and patient self-empowerment. The authors are unafraid to address more disputable, 'slippery slope' issues, many of which remain targeted by polarized political systems.” - Kirkus Reviews“Targeting a general audience, this title provides a clear and compassionate presentation of complicated topics and how important it is to confront them.” - Library Journal“[Gutmann and Moreno] vividly explore the complexity of the ethical principles underlying scientific advances and emerging medical treatments.... Part cultural history, part philosophical enquiry, and part gentle polemic, this valuable survey should become prescribed reading for America’s healthcare practitioners.” - Publishers Weekly“Well done.” - Booklist“The age-old debate about health care―what we owe each other as we all become sick―has rarely been able to transcend the superficial and frustratingly binary arguments of the politics that has held a meaningful discussion hostage. This superb book is a refreshing departure.” - Ken Burns, filmmaker“A remarkable, highly readable journey through the development of modern thinking about bioethics, from syphilis experiments on black men in Tuskegee, and Brittany Maynard’s desire to die rather than live with uncurable cancer, to wondrous medical advances that pose excruciating trade-offs.” - Judy Woodruff, anchor of PBS NewsHour“Amy Gutmann and Jonathan Moreno’s groundbreaking Everybody Wants to Go to Heaven But Nobody Wants to Die should be required reading for anyone with a heartbeat who wants to understand the ethical and practical contradictions of our cultural obsession with prolonging life at all costs.” - Andrea Mitchell, anchor of NBC News“A tour de force. Readable and understandable to lay audiences, sophisticated and comprehensive for all, fair-minded in approach but also taking positions, this book gives a thorough history, with important examples, of all the areas of research and action that raise serious ethical questions. Everybody will face some of the challenges raised in this book. And everyone would benefit immensely from reading it.” - Norman Ornstein, resident scholar at the American Enterprise Institute Amy Gutmann the University of Pennsylvania’s eighth president, is an award-winning political theorist.Jonathan D. Moreno is a Penn Integrates Knowledge University Professor at the university. They both served on President Obama’s bioethics commission.
An incisive examination of bioethics and American healthcare, and their profound affects on American culture over the last sixty years, from two eminent scholars.
An eye-opening look at the inevitable moral choices that come along with tremendous medical progress, Everybody Wants to Go to Heaven but Nobody Wants to Die is a primer for all Americans to talk more honestly about health care. Beginning in the 1950s when doctors still paid house calls but regularly withheld the truth from their patients, Amy Gutmann and Jonathan D. Moreno explore an unprecedented revolution in health care and explain the problem with America’s wanting everything that medical science has to offer without debating its merits and its limits. The result: Americans today pay far more for health care while having among the lowest life expectancies and highest infant mortality of any affluent nation.Gutmann and Moreno―“incisive, influential, and pragmatic thinkers” (Arthur Caplan)―demonstrate that the stakes have never been higher for prolonging and improving life. From health care reform and death-with-dignity to child vaccinations and gene editing, they explain how bioethics came to dominate the national spotlight, leading and responding to a revolution in doctor-patient relations, a burgeoning world of organ transplants, and new reproductive technologies that benefit millions but create a host of legal and ethical challenges.
With striking examples, the authors show how breakthroughs in cancer research, infectious disease, and drug development provide Americans with exciting new alternatives, yet often painful choices. They address head-on the most fundamental challenges in American health care: Why do we pay so much for health care while still lacking universal coverage? How can medical studies adequately protect individuals who volunteer for them? What’s fair when it comes to allocating organs for transplants in truly life-and-death situations?
A lucid and provocative blend of history and public policy, this urgent work exposes the American paradox of wanting to have it all without paying the price.
A Good Introduction to the Liberal Tradition in Bioethics There are few subjects more controversial or partisan than bioethics. Amy Guttman and Johnathan Moreno do a mostly responsible job of articulating the history of bioethics from a liberal perspective. Other viewpoints are respected but rarely given even-handed treatment. Because of this, the book will be popular in academia and left wing circles but will fail to be read by many conservatives.The authors present bioethics as a new discipline arising out of the sweeping changes health care has undergone in the twentieth century. This is itself something of a choice as it situates bioethics as something recent rather than one firmly grounded in world traditions. They also stress a meta-narrative as medicine progressing from a paternalistic doctor to patient relationship to one more focused on patient autonomy.As Guttman was the chairwoman of Obama’s bioethics commission and Moreno a principal adviser, it shouldn’t surprise the reader that they largely see the the biotechnology sector as well regulated. For them, modern advances in genetics and neuroscience are not frightening developments with the possibility of uprooting society but technologies with the possibility of greatly improving the human condition.If there is any fault in the regulation of healthcare it is in the failure of the federal government to provide basic healthcare to all Americans. But, as I mentioned above, the authors do not hammer their opinions into the reader but more subtly articulate their position.This book will probably be used as a textbook in bioethics courses at universities for years to come. I only wish the authors had not provided straw-man articulations of their opponents. For example, there is serious reason to question whether FDA oversight of new pharmaceuticals is leading to unnecessary loss of life. But for the authors, critics are simply knee-jerk libertarians.Another well-written book on an important subject that tends to patronize those who disagree with them. It will appease like minded readers but will fail to seriously advance the public dialogue. Recommended to those who want an introduction to the liberal bioethical tradition.an important book everyone needs to read This book is written by two leading experts from a top university but is highly readable and engaging. It will help you think through how to deal with our health care system as an individual and family, and also how to cut through the b.s. from presidential candidates about health care reform.
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